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HomeMy WebLinkAbout24-61S James^ys^^/-?c ":"y'\ftr.!^. '^^./^~^^/ Department of Safety & Professional Services, Industry Services Division County Bayfield Sanitary Permit Number (to be filled in by Co.) -/•f^'f>5^0i051 Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. Number7;7:;(^^H--^/^I7 Prqject'Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name Mark & Christina James Parcel# 16063 Property Owner's Mailing Address 64065 Colby Rd City, State Ashland, Wl Zip Code 54806 II. Type of Building (check all that apply) B 1 or 2 Family Dwelling - Number of Bedrooms D Public/Commereial - Describe Use D State Owned - Describe Use Phone Number 651-274-2033 Property Location Govt. Lot SE i/^ SE •/,. Section 32 Lot #47 _N R 5 x _EorW Subdivision Name Block # D City of _ CSM Number a Village of H Town of Eileen m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on Bne A. Check one box on line B. Complete line C if applicable.) D New System B Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain) B.D Holding Tank D In-Ground (conventional) D At-Grade S Mound D Individual Site Design D Other Type (explain) c.D Renewal Before Expiration D Revision D Change of Plumber D Transfer to New Owner[List Previous Permit Number and Date Issued IV. Dispersal/Tjxatment Area and Tank Information: Design Flowj.g^d) 450 \/ Design Soil Application Rate(gpd/sf) .4 Dispersal Area Requjfed"(sf) 1125 a Requjfed"(;Dispersal Area Proposed (sf) 1472 System Elevation 97.32 Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer IIS, u llII •n SE 5 Septic or Holding Tank ~.^2000 Wieser Concrete Dosing Chamber X Y 750 1 Wieser Concrete V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Edward B. Redinger Plumber's Signature ^\5^L^^~ MP/MPRS Number 221939 Business Phone Number 715-292-6670 Plumber's Address (Street, City, State, Zip Code) 1015 11th Ave. E.Ashland,WI 54806 VI. County/Department Use Only .Approved ^-S^M_ D Disapproved D Owner Given Reason for Denial Permit Fee'500 Date Issued /.- r7.rm_ Issuing Agent_SignatureWT /^^7^/^ Conditions of ^Ipproval/Reasons for Disapproval ^ y>ii... . ./.. ...,+^ip'^'IO^t^ ^)W^re ^ ^CMl^W>- ol.)^a^^r^ lo ^N^. 4}/^^Y^n old ^W ^ ? s83. ^ Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in sue SBD-6398 (R. 03/22) it. > >z - - '~Jt c =; z ys — <;r^l '•f' 's-£.0^^\^ 0r"z ^•' 3t%c^<K0:3 &tT3•D scrgr e5 3'. I 3i0 (S!;ii"<.tl"1II eOfe SiEX "-'• s\ w t £ •-> E S« 5. Qft" "'ill? ItIll'» a- W ~c 3.S 3a S 3 g3-5' r- <sr»><»• %sa.a' 2 S^3--5 01§ 81 ^ r-.S 11.1I st ;' 3 0 Q. § 0s ^ V: IIs s 3' n>a? 0®g.g s-^.». §G. 5S =w. ^ := Os Us, sill §® & 5 3 I 5.2. ^ a 0 y: a>0 r- m<>r-c> 023m•p03)-( ^^i-< f^. y.f* f_s& s c in3s c ^rr.. £-d S£ —r; r.^ K. c.r: s '€. m3; X •K^j GE^c y. y3c^ ££r.r. I Ag § yUi!A "N. /r''^.\ ff.:..(^'^ '"-c. /: /;".y. ^r> <frp f- N -4- \,-,^ ^M..\^- -t ' . "<..VA "K. Tf; f T.< 4' c, hj,.:: I 'i r^ f" t'.Ji t.'\J > -^ '•'} 3=.c' (. t--~^ -jlf, ).CA '- - s- ;p. '7' r" "• 3-€> G c:- y\ £"" r~" j , ^ /4^-.( I! % ! ^j s 1^f" ! '€? ou?y /^i u?^.^ (^. •^.-^.^^.^ y^ ,r v< °,, IAI Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 Phone:608-266-2112 Web: http://dsps.wi.aov Email: dsps@wisconsin.sov Tony Evers, Governor Dan Hereth, Secretary May 21,2024 OUST ID NO.: 221939 EDWARD REDINGER 1015 11TH AVENUE EAST ASHLAND. WI 54806 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/21/2026 MUNICIPALITY: TOWN OF EILEEN BAYFIELD COUNTY SITE: MARK JAMES 64065 COLBY RD ASHLAND, WI 54806 Identification Numbers Plan Review No.: PWTS-052401057-C Application No.: DIS-052421118 SiteIDNo.:SIT-130445 Please refer to all identification numbers in each correspondence with the Department. ConcSitionally OF AND OF -^;^^^" SEE FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 13 inches Maintenance Required: Effluent Filter Mound Component Manual - Version 2.1 (May 2022-2027) SLTE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for constmction. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS (Version 2.1), (May 2022-2027)". • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)" aad/orthe sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". e A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a '/4-inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A state-approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (1l)(c) • Well setbacks to meet chs.NR 811 & 812 ;: jvj^v Q^7fi/,- • Tank Installation to follow all manufacturer's requirements. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per the approved plan. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Ensure the existing 200o gallon holding tank to be converted to a septic is watertight, structurally sound and baffles are in place. Any changes made to the tank must be approved by the manufacturer. The Bayfield Zoning Dept. may require a tank evaluation be completed and filed prior to issuance of the sanitary permit. a To protect the dispersal area during any construction activities, it is recommended that the mound test area be fenced, posted, or flagged off. » Provide surface water diversion around the treatment taaks and mound dispersal component. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, ...f'"l/r~ft'--'''K-'.^' Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 PAGE 1 OF 6 Mound Plan & Cover Sheet ; w{ 3 °mA Component Manual Design References: Mound Version 2.1 (May 2022-2027) & Pressure Distribution Version 2.1 (May 2022-2027) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross-Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Pump Curve Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Replacement 3 Bed Mound .4 loading Owner Name(s): Mark & Christina James _ Phone: 651 .274 .2033 Owner Address: 64065 Colby Rd. Ashland, W! _ Zip: 54806 Project Address: same Govt. Lot: _ SE L|1/4 of SE LJ1/4, Section 32 _ , T4L_N-R_5_E Township: Eileen _ County: Bayfield Project Parcel ID #: 1 6063 or W ^\ Designer Information Designer Name: Edward B. Redinger _ Phone: 715 .292 .6670 Designer Address: 1015 11th Ave. E. Ashland, WI _ Zip: 54806 E-mail: ed@superiorpmw.com _ rim sp;icc rcscrvccl for approvnl slamp. License Number: z-£-f ^*3y concsuionany Remarks: DEPT. OF SAFEW AND PROFESSIONALSERVICESDSViSION OF INDUSTRY -7^.^—^ SEE CORRESPONDENCE Signature: ^—-^/ X^.TZ^—^-- _ Date: 5/3/24 Original signature required on e/ch submitted copy. MAY ;'i '! ?ij/ri SUPERIOR PLUMBINS MECHANICAL Customer Name: Mark & Christina James Adress: 64065 Colby Rd. Ashland,W! 54806 Phone #: 651-274-2033 Email: ^^ CST# 221939 Scale: 1" = 40' PIN:16063 5 Acres SE SE S32 T47N R5W Town of Eileen Bayfield Co. ^.^'y^/' /%^ ^.y/^^ W'xw c^K La. o-"^ '* f-s re-t- /»<«>-//» ^> < ~T°^:' ^H 1% ^^ "}S"£> ^o,! i^Ji'e-i^r [-^-k ^ \^? ^ ^-s -^-2 4'" ?o-Jf n ^ ^^••S^-f ^6d0 ,<,/ 0,*^A-T^J<' \J^\\ ^'«3| <d ^1?1^ SINGLE-CELL MOUND DISPERSAL 0.5" TO 2.5" WASHED AGGREGATE (min. 6.0" beneath distribution pipe - min.2.0" over distribution pipe and covered with approved synthetic fabric) MIN, 6.0" OF TOPSOIL COVER r- min. 1.0 ft p. — — __^__j. — ——— D= J^91_ ft E= 1.98 ft System Elevation = 97.32 ^ Lateral invert Elevation = 97.82 ft CROSS SECTION VIEW (No Scale) Plowed Surface Surface Contour Elevation = 95.4 (Show force main, manifold, and flush valve locations on plan view.)PLAN VIEW (No Scale) w=24 1-1/4 "0Schdl40 PVC Lateral(typical) I _- 1_ B 100 Bend as necessary to follow contour DOWNSLOPE TOE L= _122^ft J= Obseroab'on±!fi.eJtypM). 10.3 ft 10 (typical)1 Prohibit disturbance and vehicular traffic within 15 feet of downslope toe. Doca* Dinn ' K= _1j_ ft (typical)D>0m CL>0-n Oi DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) Orifice in Center of Threaded Cap for Head Testing (optional) ( IBall Valve (optional)\\ Orifices equally spaced: [check a) OR b) below] a) LS—I along bottom of lateral b) I_I along top of lateral with every _ th hole FLUSH VALVE DETAIL (No Scale) Valve Box (insulation optional)\ \ \. Lateral Spacing S- 2.25 'ft Shield orifices for gravelless applications Flush Valve Assembly (typical - see detail) ,"0Schdl40 PVC Force Main (slope to pump tank for drain-back) Lateral Length (P) = _ 49.25 ft First Orifice (typical) Laterals to be level -Schdi40PVCLateral0= 1-1/4 in (typical) Number of Orifices per Lateral = 25 facing down LATERAL INVERT ELEVATION = 97.82 ft Last Oriffce (typical) Orifices equally spaced along bottom of lateral Orifice Discharge Rate = Number of Laterals = .53 .gpm (typical) Orifice Spacing (X) =(typical) Orifice Diameter = 5/32 (typical) in Lateral Discharge Rate = 13.46 gpm TOTAL DISCHARGE RATE = 54 GPM in OBSERVATION PIPE DETAIL Screw-Type or Slip Cap (loose) 4-0 PVC Pipe Top of pipe to tenninate at or above finished grade (4)1/4"-1/2"X6"Stots @ 90 apart t-.t. Finished Grade (mulched & seeded) Topsoil Cover(min. 1 foot) Anchoring Device Infiltration Surface First Orifice (typical)-^!saIE Check applicable box. X- (typical)END MANIFOLDCONNECTION First Orifice (typical) - ^- Manifold (riser pipe optional) -nt ZY (typical) -X/2- (typical)Jd -X/2- Manifold (riser pipe optional) CENTER MANIFOLD CONNECTION :Hg>s0' m2 ^:0•n 05 PAGE 5 OF 6 / TANK SPECIFICATIONS(No Scale) IMPQRTAhm Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) 4"0 Vent Pipe > 10 ft from Building 12" Min.or2.0ft aboveEstablished Flood Elevation (typical)ApprovedVent Cap Electrical must comply withSPS 316 and NEC 300 Waatherproof •Junclion Box \1/ \l/ Finished Grade Extend manhole riser as necessary. Approved Locking Manhotewith Warning Label Attached(typical) 4" Mln.or2.0ft above Established Flood Elevation(typical) \1/ \t/ CAPACITIES @ 20^28 gal/in A B [C] D Depth (in) 21.5 2.0 3.5 10 Volume (gal) 437 40.5 70 202 Pump Tank Liquid Level = Force Main Diameter = 2 39 18"Min. (typical) . Approved Joints with Approved Pipe 3 ft onto Solid Ground(typical) PUMP-OFF ELEVATION =90.83 ft INSIDE BOTTOMELEVATION = 90 Force Main Length =40 ft 3" Approved Bedding Material Beneath Tank Force Main Void Volume =6.5 gal [C] Total Dose Volume (TDV) =T:70 gal/dose (5X total lateral void volume <. TDV < 0.2X design flow) + (force main drainback volume) MEN. PUMP DISCHARGE RATE =54 gpm ft Vertical Head = + Min. Supply Head = + FM Friction Loss = + Fitting Loss* =. '(min. supply head x 0.3) = TOTAL DYNAMIC HEAD = 6.9 3.5 2.3 1 13.7 .ft _ft _ft _ft _ft PUMPTANK: Volume = 750 gal Manufacturer: _________ wi®ser Pump Manufacturer: Pump Model: _WE0312li240y_ Controts/Alarm Manufacturer: Concrete Goulds Alderon Controls/Alarm Model: Power Post Float switches containinfljTiemyrv.a^^^ Total Volume = Manufacturers): Install approved immediatelv SEPTIC TANK(S): 2000 gal Wieser Concrete effluent filter at the septic tank outlet upstream of the pump tank inlet. Filter Manufacturer: Poly Lock Filter Model:525 Wastewater Specifically designed for the following uses: ® Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent Systems Pump • Solids handling capabilities: %" maximum. • Discharge size: 2" NPT. • Capacities: up to 140 GPM. •Total heads: up to 128 feet TDH. • lemperature: 104°F {40°C) continuous, 1 40°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. • Fully submerged in high-grade turbine oil for lubri- cation and efficient heat transfer. • Class B insulation on Vs - 1 Vz HP models. • Class F insulation on 2 HP models. Single phase (60 Hz); • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. • SJTOW or STOW severe duty oil and water resistant power cords. • % - 1 HP models have NEMA three prong grounding plugs. • 1 '/a HP and larger units have bare lead cord ends. Three phase (60 Hz): * Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. • Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously with- out damage when fully submerged. • Bearings: Upper and lower heavy duty ball bearing construction. • Power Cable: Severe duty rated, oil and water resis- tant, Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Option- al lengths are available. 9 0-ring: Assures positive sealing against contami- nants and oil leakage. AGENCY LISTINGS Tested to UL 778 and CSA 22.2 108 StandardsBy Canadian Standards Association File #LR38549 METERS 40 35|- 30|- Qi 25 L)2< Q 20 h- g i5h 10 :~]SERIESTWE~~"3;iSIZErW^SOLIDSiJRPM: 3500 &]1Z50_ 140 150 160 GPM I I 15 20 CAPACIPi' 25 30 35 m3/hr CAGE 2 4" CAST-A-SEAL TOP VIEW OPTIONAL FLAT COVERIS AVAILABLE FOR EXCHANGE FOR DOME COVER. WLP750-MR TANK SPECIFICATIONS DIMENSIONS:WALL: 2 1/2'BOTTOM: 5"COVER: 4"MANHOUE: 24" !.D. PRECAST CONCRETE RISERHEIGHT: DOME COVER 61" 0.0.FLAT COVER 53 1/4" O.D. OUTSIDE DIAMETER: 84" 0.0.BELOW iNLET: 42" 0.0.UQUID LEVEL- 37" WIGHT: 6,150 LBS. INLET AND OUTLET:4" CAST-A-SEAL BOOT OR EQUALBASKET. CAST-A-SEAL BOOT OR EQUAL 1NLET AND OUTLET B?H£ AND FILTER:WISCONSIN, SEE DETAIL |10(OTHER STATES SEE CHART) LIQUID CAPACiTY: 20.28 GAL/iN HOLDING TANK:ACTUAL CAPAOn: 790 GALLONSOUTLET HOLE PLUGGED LOADING DESIGN: 8' 0" UNSATURATCD SOIL MN TANKS:WILL HAVE ONE VENT OVER OUTLET AND WLL HAVE TWO VENTS IN COVER OVER INLET TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN |B (NO FIBER)TANK: MIX DESIGN fiO (STRUCWRAL RBER) CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT MESER CONCRETE PUMP PAD S1DE_V£W TANKS ARE MANUFACWRED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS JOB INFORMATION: CUSTOMER: WB NANE: DATE NEEDO): APPROVED BY; 'APPROVAL DATE: ?;@ w. t£)ins ^ T-. 00ss^3 <Nn° IIsw ^ 5 ^1 y oF= ua, wuOT U)(K SHEET NO. 1 1 Bayfield County, Wl .;PRPID/Tax.lb:»»360MStl~..S.^S'SrSffiStt^iR°BER!'?!'€J^swK'ys^ •SSStSEaS!SS:s!,uWSS RRPI£2$;ISS'^2^;!?3glNICOLE;M 'PROCTOR? 6/5/2024, 4:00:16 PM Rivers Road Type Building Footprint 2015 Approximate Parcel Boundary ^^ state * Building Town 1:1,769 0.02 0.04 0.08 ml 0.04 0.07 Bayfieid County Land Records Department 0.14km Bayfietd County Zoning Applicationhttps^/maps.bayfie!dcounty.wi.gov/ZoningWAB/ 6/5/24, 4:00 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 6/5/2024 Property Status: Current Created On: 3/15/2006 1:15:24 PM is'i.Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: ••I Tax Districts 1 04 020 020170 001700 Updated: 4/17/2018 16063 04-020-2-47-05-32-4 04-000-30000 020106905000 (020) TOWN OF EILEEN S32 T47N R05W E 335' OF S 1/2 SE SE IN DOC 2018R-572518 574A 5.000 5.078 1 Yes (AG-1) Agricultural-1 113 Updated: 3/15/2006 STATE COUNTi' TOWN OF EILEEN ASHLAND SCHOOL TECHNICAL COLLEGE Ownership Updated: 4/17/2018 MARK R & CHRISTENA A JAMES ASHLAND WI Billing Address: MARK R & CHRISTENA AJAMES 64065 COLBY RDASHLAND WI 54806 Mailing Address: MARK R & CHRISTENA A JAMES64065 COLBY RDASH LAN D WI 54806 Site Address * indicates Private Road 64065 COLBY RD Property Assessment ASH LAN D 54806 Updated: 8/21/2023 2024 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 5.000 14,000 194,800 2-Year Comparison 2023 2024 Change Land: 14,000 14,000 0.0% Improved: 194,800 194,800 0.0% Total: 208,800 208,800 0.0% Recorded Documents Updated: 3/15/2006 a WARRANTY DEED Date Recorded: 4/11/2018 a CONVERSION Date Recorded: 2018R-572518 314-371 Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=16063 1/1 -mw 'l/n^ Private Sewage System Maintenance Agreement Owner(s) Name MyrtC P.. ^ WI^.A^ A. ^/^^ Owner(s) Mailing Address <^^'~ <^-//s/ ^ ft^k^l^I 5~^^L Site Address (fHo^iT tvlh^ &JI, A^^it<^, i^L S'^V^- Tax ID #/b0^ As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) _1/4of.Section ^i Township ^7 N. Range _0; Additional Legal Description: £-?^>/^^-*z Sts S£ in. 0.-- 2.c,i9R.'57^S'^ ^Tf^- Town Lot. Lot of ^//ti£n_(Acreage)Gov't Lot Block_ CSM#. Subdivision Vol. _ Page CSMDoc# DOCUMENT NUMBER2024R-603262 DANIEL J. HEFF-NER REGISTER OF DEEDS BAYFIELD COUNTY, Wl RECORDED 05,16/2024 AT 1 1 :55 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: !; 'Planning and Zoning Department MAf ' 7yll/4 ' D In-ground gravity Mound D In-ground dosed D In-ground pressure distribution Sewage System: D At-grade Sewage System D Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E); The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At-arade, and tn-around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the variance shall be binding upon and inure to the benefit of all current and future owners of such property. Ownqr(s) Name(s) - Pfeag^PrintH<ri^ ^I^^L€-^ i/hn^4ch^ ~~SO^A€S s) - Signature(s) >%-^?€Z Subscribed and sworn to before me on this date: -_!_^-W^rf—'*—--—1^N'ctgln P'jc'iic Vi^\JW.-^ ^^hA^6 1y Cormission Expires;1y Cormission Expires;\—r'W'^-^5 Drafted by: /^<a^fe- ~S<i<^>^ Date: J$<^Z_^2,^. Proofed by: u/forms/sanitary/septicmaintenceagrecmeni Revised June 2018 PAGE 4 OF 4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wise. Adrnin. Code. Maximum Dispersal Area Operatina Limits: Design Flow = 45° gpd; BODs S 220 mgL-1; TSS £ 150 mgL-1; FOG S 30 mgL- Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (/'.e. odors, user complaints, etc.) o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.) o material fatigue (/.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (/.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (/'.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of affluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code. o Effluent filterfs) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period w'll always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & Mech. Inc. phone: 715-292-6670 Local government unit; Bayfield CQ. Zoning _ phone: 715-372-6138 Local government unit address: 117 5th St. E. Washbum, Wl _ ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Actmin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wise. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code. BAYFIELD COUNTY SANITARY PERMIT (#04)-24^1S STATE SANITARY PERMIT OWNER: MARK R & CHRISTENA A JAMES GOVTLOT: LOT: BLK: SE 1/4 SE 1/4 SEC: 32, T 47 N, R 5 W TOWNSHIP: Eileen SOIL TEST: 07-10 REPLACEMENT SYSTEM SYSTEM TYPE: Mound > 24 in. of suitable soil PLUMBER: EDWARD REDINGER MCKENZIE SLACK Authorized Issuing Officer DATE: 6/7/2024 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: 10-07S LICENSE: #221939 Condition: System to meet all setbacks. Management plan to owner. Property maintain system per recorded agreement. Adhere to State conditions. Abandon old system per SPS 383. THIS PERMIT EXPIRES 6/7/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION